[Emphysematous cystitis complicating non-conservative total hysterectomy for ovarian cancer].

The authors report a case of emphysematous cystitis in a 50-year-old woman treated by corticosteroids, occurring 1 month after hysterectomy for locally advanced ovarian cancer. Although the patient presented a vesico-vaginal fistula, the presence of air in the bladder wall and only in the bladder lumen, confirmed the diagnosis of emphysematous cystitis. Despite intensive care and surgery with colostomy and Mikulicz drainage associated with urinary diversion (transparietal bladder catheter on one side and cutaneous ureterostomy on the other side), the patient died on day 10 in a context of sepsis.

[Deep venous thrombosis of the upper limb complicated by pulmonary embolism. Apropos of a case].

Venous thrombosis of the upper limb is classically rarely complicated by pulmonary embolism. The authors report a case of phlebitis of the upper limb in a 46-year-old woman with a thoracic outlet syndrome complicated by multiple and recurrent pulmonary emboli. Analysis of recent data from the literature would appear to bring into question the classically accepted harmless nature of this condition regarding the risk of embolic complications.

[Ambulatory anesthesia in intravenous digital angiography in children. 340 cases].

Immobility in intravenous digital angiography (ANIV) plays a leading part for high-quality results. Three hundred forty children (mean age 30 months, mean weight 12 kg) had an intravenous digital angiography in day-hospital's conditions. Intravenous general anesthesia with or without short neuromuscular blockade is able to help immobility in children.

[Renal cortex ischemia, right atrial thrombosis and coronary occlusion in anti-phospholipid antibody syndrome].

The presence of a lupus anticoagulant (LA) is paradoxically associated with a high incidence of arterial and venous thrombosis. In a patient with a lupus-like systemic disease, having received phenindione for 11 years, LA was discovered in association with recurrent deep venous thrombosis, a right atrial thrombus, coronary occlusion, arterial hypertension, thrombopenia, and anticardiolipin antibodies without anti-DNA antibodies. Renal cortical ischemia was detected by a tomographic scan.

[Ultrasonic diagnosis in postero-basal pulmonary sequestration in children. Apropos of 8 children including 4 with sequestration].

Ultrasound imaging should be carried out in all children with posterior basal lesions of lungs suspected of being sequestration on standard images. Ultrasonography alone is capable of confirming diagnosis of branchopulmonary sequestration. Results are reported in 8 children, 4 of whom had sequestration.

[Enteric cyst and pulmonary sequestration. A non-fortuitous association. Apropos of a case].

The authors report a case of associated malformation of the posterior mediastinum consisting of enteric cyst and bronchopulmonary sequestration. The interesting aspect of this case is that these 2 malformations were not simply juxtaposed but connected by an individual bronchus, thus reinforcing the hypothesis that bronchopulmonary sequestration can be consequence of an abnormal bud born of the primitive anterior digestive tract.

[Value of ultrasonography in the diagnosis of renal abscesses. Results in 13 cases (author's transl)].

The results of ultrasonography recordings in 13 patients with renal abscesses are described: the image of the abscess is that of a cavity, of mixed structural composition, located inside the renal parenchyma. Ultrasonography has great diagnostic value, can be used to guide the aspiration needle and therapeutic procedures, and permits effective follow-up of the course of the disease. Chronic abscesses develop thick borders which give an ultrasonographic appearance similar to that of a necrotic cancer.

[Echotomography of renal tumours. Diagnostic value (author's transl)].

One hundred tumours were detected by IV urography and studied by echotomography. In 37 cases, a nephrotomography was performed and in 65 cases a renal arteriogram. The reliability of these three examinations was analysed.

Experimental opacification of mediastinal lymph nodes by intraperitoneal injection of an iodinated fatty emulsion.

Absorption and lymphatic drainage of several lipiodol emulsions injected intraperitoneally have been studied in the rabbit and rat. Good opacification of the lymphatic channels and mediastinal lymph nodes is obtained in several hours with fine emulsions and in several days with coarse emulsions. The tolerance is related to dose, and the peritoneal reaction was moderate with the low doses, similar to that caused by the administration of physiologic saline alone.

[A critical review of the variations in size of the kidney caused by increased diuresis in hypertensive patients (author's transl)].

The authors studied the validity of Wolf and Dorph's test (increase in size of the kidney with increased diuresis) performed during intravenous urography in hypertensive patients. The technical procedure is described, and the results reported: 1 032 kidneys were measured, of which 84 had been also examined by arteriography. The results are analyzed and compared to those obtained after the standard method of early consecutive films, with the following conclusions: -- the test is not as valid as is suggested by the authors who described it; -- the information supplied by the standard method is more consistent and precise; -- the results of these two series are not completely superimposable; -- that even if Wolf and Dorph's test can sometimes supply useful information, it must not be relied upon completely.

[Echographic study of thoracic lumps in 9 operated cases (author's transl)].

The authors report 9 cases of thoracic lumps investigated by echography in children and adults and operated later. The ulta-sonic study of intra-thoracic lumps is possible thanks to the echographic "windows" which are described; mediastinal and parenchymal lumps can thereby be investigated provided that they have a direct contact point with the chest wall. The echographic examination cannot reveal the histological nature of the lump but it is interesting in that in case of a liquid content it can assert its benignity, all with a technique simple and easy to use especially in children.